HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/23/21 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: PLUMBING
PROPOSED IMPROVEMENT LOCATION:
Address: 8256 Sandpine CIR Port St Lucie, FL 34952
Property Tax ID #t: 3426-703-0033-000-5
Site Plan Name:
Project Name: WATER HEATER
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
80- GALLON ELECTRIC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _�,GasTank _Gas Piping _Shutters —Windows/Doors
-X Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction": Sq. Ft. of First Floor:
Cost of Construction: $ 2495 Utilities: -Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John A Jurceka
Name: RICHARD BASSOFF
Address: 8256 Sandpine CIR
Company: ADMIRAL PLUMBING SERVICES, LLC
City: Port St Lucie, FL 34952 State: _
Zip Code: Fax:
Phone No. 772-233-3404
Address: 2895 JUPITER PARK DR STE 700
City: JUPITER State: FL
Zip Code: 33458 Fax:
Phone No 561-746-1180
E-Mail:jajmaj@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERTMITTING@THEADMIRALPLUMBER.COM
State or County License CFC-1426115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Contract r/ se Holder
Signature of Owner/ a Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
COUNTY OF PALM BEACH
The forgoing instru Ent wa
acknowledged before me
The for Ding instr ent w s acknowledged before me
this � day of r i �
20�f by
this � day of 20ZI by
RICHARD BASSOFF
RICHARD BASSOFF
Name of person making statement.
Name of person making statement.
Personally Known
ion
Personally Known OR Produced Identification
Type of Identiflicatiol'
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ype of Identification
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Commission (Seal)
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
nev.2/i/19
The new degree of comfort"
Professional Classic® electric water heaters are
engineered for longer life - resistored heating
elements and premium grade anode rod
Efficiency
• .93 UEF
• Isolated tank design reduces
conductive heat loss
• Dual stainless steel upper and lower
elements to prolong anode rod and
tank life
Performance
• FHR: 78 gallons
• Recovery: 21 GPH at a 900 F rise
Longer Life
• Premium grade anode rod provides
long-lasting tank protection
Features
• Electric junction box located above
heating elements for easy installation
• Over -temperature protector cuts
off power in excess temperature
situations
• Automatic thermostat keeps water at
desired temperature
Plus...
• RheemglasO tank lining resists
corrosion and prolongs tank life
• EverKleene self cleaning device fights
harmful sediment build-up with a
high -velocity spiraling water stream —
helps operating efficiency by saving
energy, money and improving tank life
N
r
• Enhanced -flow brass drain valve
• Temperature and pressure relief valve
included
• Low lead compliant
Warranty
• 6-Year limited tank and parts
warranty.
• With ProtectionPluse the 6-year limited
tank warranty becomes 10-year
'See Residential Warranty Certificate for complete
Information
Units meet or exceed ANSI requirements and have
been tested according to the AHRI Operations
Manual and D.O.E. procedures. Units meet or
exceed the energy efficiency requirements of
NAECA, ASHRAE standard 90, Ice Code and all
state energy efficiency performance criteria.
Residential Electric
N Water Professional Classic Water Heaters
Professional Classic
80-Gallon Capacity
240 Volt AC/Single Phase
Double Element Model
Electric
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ENERGY INFO.
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• Hsalws lumetwd wth standard 240 we AC. single phase non-simupaneais wiring, and 4500 watt upper ad b heating elemen6.
• It heating elements of raHevent wattages than V vae BhoWn"demanded by was m Iisn eh;, Uwy must be speeHieally meu•ated.
• Al modals equgped w h Mat (reps.
Recovery = watage/242 x lemP. rise °F.
Example: 4500W =21 GPH
142 x 90°
Recovery calculations used are bared on 4500 watt elements used In non-simuftanewn operation.
In keeping with its policy of continuous progress and product improvement, Rheem reserves the right to make changes without notice.
Rheem Water Healing • 1115 Nodhmeadow Parkway, Suite 100
Roswell, Georgia 30076 • www.rheem.com
MWED IN UsA 17119 WP FOI04 NO, PROE9a RH N
jjL-Admiral Plumbing Services
Invoice 71857923
2Service
PLUMBING SERVICES 5 1JupiterpPark DR T-700 Invoice Date 1/18/2021
AService Experts Company Jupiter, FL 33458 Terms COD
d D1021
561-746-1180 Completeate /18/2
License: CFC 1426115 Customer PO
Billing Address
Job Address
John lurceka
John Jurceka
8256 Sand Pine Circle
8256 Sand Pine Circle
Port St Lucie, FL 34952 USA
Port St Lucie, FL 34952 USA
Description of Work
Removed and disposed of existing 50 gallon water heater. Furnished and installed 80 gallon water heater with 3/4" ball
valve, expansion tank and permit. Permit is required. Customer is responsible for any additional requirements from building
department
Task S Description
Quantity Your Price Your Total
T994722 80 GALLON RHEEM OR A.O. SMITH ELECTRIC WATER HEATER
1.00 $2,000.00 $2,000.00
6 YEAR MANUFACTURER TANKIPARTS WARRANTY
1 YEAR LABOR WARRANTY
A14860 Water Heater Expansion Tank Rank Only)
1.00 $225.00 $225.00
Permit WH Water Heater - Permit
1.00 $220.00 $220.00
*Required by Building Department
A13210 3/4" Ball Valve - CXC
1.00 $50.00 $50.00
Paid On Type Memo
Amount
1/18/2021 Visa
$2,495.00
Sub -Total $2,495.00
Tax $0.00
Total Due $2,495.00
Payment $2,495.00
Balance Due $0.00
I hereby agree to have Admiral Plumbing Services A Service Experts Company complete the work described for the proposed price
regardless of the time it takes to complete the work.
1/18/2021
1 hereby acknowledge the satisfactory completion of the above described work.
1/18/2021
1 authorize Admiral Plumbing Services A Service Experts Company to charge the agreed amount to my credit card provided herein. I
agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement
1/18/2021